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General NPI Number Information
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NPI Number | 1033257738
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Entity Type | Organization
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Legal Business Name | FLUSHING HOSPITAL DENTAL
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4500 PARSONS BLVD
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City | FLUSHING
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State | NY
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Zip | 11355-2205
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Country | US
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Telephone | 718-670-5588
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Fax | 718-670-8862
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Provider Business Mailing Address
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Address Line | 111-20 MERRICK BLVD
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City | ST ALBANS
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State | NY
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Zip | 11418
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Country | US
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Telephone | 718-206-9888
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Fax | 718-206-3033
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Authorized Official
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Title or Position | MANAGER
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Name | MS. PATRICIA ANNE CRONIN
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Credential | RDH
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Telephone | 718-206-9888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number |
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License Number State |
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